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2012 National VET Practitioner Professional Development Opportunity Sustainability Champions Scholarship Program 22060VIC Vocational Graduate Certificate in Education and Training for Sustainability

Application Form

Instructions Please read the course information sheet and then complete all sections (A-D) of this form. Applications must be sent by email to [email protected] in Word Document Format (not PDF) by 5pm Wednesday 29 February 2012. . No late, ineligible or incomplete applications will be considered. . Applications must include a statement of recommendation from an appropriate supervisor from your Registered Training Organisation.

Download course information sheet from: http://northcoast.tafensw.edu.au/courses/Pages/SustainabilityCourses.aspx

Section A – Personal information

Name Job title Faculty / Unit

Campus

Registered Training Organisation

Registered Training Organisation National Code

Postal address

Phone Work Mobile Email Employment status (select the appropriate box)

Full time Part time Casual Contract Other

Vocational qualifications (select the appropriate boxes)

Certificate IV in Training and Assessment. Please specify: TAE40110 or TAA40104 Diploma of Training and Assessment

Other vocational education qualifications that would meet AQTF requirements Please describe:

Previous study in an accredited sustainability unit or course. Note: Preferably Unit 1 Diploma of Sustainability Unit VU30302 Apply Basic Concepts of Sustainability to Own or Local Practice or equivalent. Please list:

Section B – Course delivery location You will be required to participate in three (3) face-to-face training events (totalling nine days) over the 12- month period. The training events will be supported by virtual ‘live’ web conferencing and online learning. Applicants should only apply if they are committed to participate in all 3 training events and periodic web conferences. Consideration may be given to delivery of the workshops in regional locations if demand exists and arrangements can be made. In this event, please number your preference of location (1-2), where 1 is your first preference and 2 is your second preference.

Preference (1–2) Location Melbourne Metropolitan Sydney (Queensland) location to be confirmed Perth Adelaide Other (please list):

For NSW and ACT applicants consideration will be given to successful applicant’s locations to determine a central and accessible venue. Section C - Selection criteria In your own words, please respond to the following selection criteria in the box below each question. Please keep to stated word limits: 1. Motivation: Describe why you want to complete this course. (150 word maximum)

2. Opportunity: Describe your current role and how you will manage, advance and deliver sustainability training within your educational institution over the next two years. (200 word maximum) 3. Advancement: Describe how you will lead, advance and support sustainability initiatives within your institution, with employers and/or in the community. (200 word maximum)

4. Leadership: Describe how you will share the expertise you gain from the course, during and afterwards, across the VET sector and beyond. (150 word maximum) 5. Commitment: Describe the strategies you will use to ensure that you will complete the course. (100 word maximum) Section D – Institutional recommendation Applicants must have the support of their Registered Training Organisation to participate in this course. The appropriate supervisor/manager/director from your institution should state why they are supporting and recommending your application in the space below. (200 word maximum)

Supervisor’s recommendation statement:

Supervisor’s name: Job title

Registered Training Organisation

Work phone Mobile phone Email